Organization Active NPI

Sean Reed

  • Dentist
  • Prescott Valley, AZ
National Provider Identifier
1609303213
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D8489 Issued in AZ
Legal business name
SEAN REED
Practice address
8053 E Florentine Rd
Prescott Valley, AZ 86314-9423
Phone
(928) 772-9860
Fax
(928) 772-9866
NPI assigned
May 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sean Reed, DDS
Title
Owner/ Dentist
Phone
(928) 772-9860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D8489 AZ Primary

Addresses

Primary practice location

8053 E Florentine Rd
Prescott Valley, AZ 86314-9423

Mailing address

8053 E Florentine Rd
Prescott Valley, AZ 86314-9423
Phone (928) 772-9860

Other identifiers 1

IdentifierTypeStateIssuer
731456MedicaidAZ

Other names 1

  • Horizon Dental Group- Prescott Valley Doing business as

National Provider Directory

National Provider Directory

Locations

8053 E Florentine Rd
Prescott Valley, AZ 86314
Phone (928) 771-1640

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1609303213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8053 E FLORENTINE RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863149423",
            "telephone_number": "928-772-9860",
            "fax_number": "928-772-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8053 E FLORENTINE RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863149423",
            "telephone_number": "928-772-9860",
            "fax_number": "928-772-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN REED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "928-772-9860",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D8489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "731456",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Dental Group- Prescott Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.